1991, 08-06 Permit: 91001805 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/applicationis true
and correct, and authorizea ka County to proceed withnmoossmo In additionI have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9i081805 I%%UED PERMIT DATE= 08/06/9i PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11120 E 20TH AVE PARCELO= 28542-2604
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO
*** SEE NOTE ***
PLAT4= CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= AGJUB DI T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 4 DWELLINGS= 10 WATER DIET = E-
OW ER= GRANT, JOY PHONE=
STREET= 11i20 E 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON %LOAN PHONE NUMBER= 509 922 8500
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
STREET= PO BOX 14i562
ADDRE%%= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO.00
%EWER CONNECTION 1 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/06/91 5377 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50. 00 50.00 . 00
------------- ------------
50,00 50,00 5O.00 .00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLESGA% PIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (45�-S0OO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: _______.---- Project#__ ______ _`_ Use;.--
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept. of Bldgs.
Special Insp. Final Report —_--__ ---
Hydrant( )
—_ �- --- --- Lock Box_ .
Engineer's . -----._.._ RID/CRP, _
Easements— •'
Road"Plans/Improvements — --_--_
• `Bonds
•
Plannin
gBonds_
•
Utilities Double Plumbing._
Other _ --- _
`********°"""********"****THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTtFICATE OFOCCUPAMCY ONLY**`*******************°'******
Date received for C/O processing. _ Plans pulled for final processing n_
Temporary C/O issued
p y _amu_.-__ ,. • .Certificate of Occupancy issued:.____ ___-
Office file review by --_-_- . Date
Filed insp finaled by: Date.
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: ----_ _—�_- --_ -__--. Date:___ _
Plans returned: --- Received by:No response response from owner/contractor-plans destroyed: